Evidence map›Paper›PMID 40138103›Full record

ArticleAging clinical and experimental research2025

Plasma GFAP, NfL, and p-tau181 levels as early biomarkers of dementia in Chinese adults: Shenzhen community cohort study.

Chunhua Liang, Xueqin Yan, Jing Tian, Yunzhu Yang, Xiaohua Xiao, Yaohui Huang, Tianfu Wang

Registry-linked trialAbstract read
In one paragraph

Article in Aging clinical and experimental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07779863 (Caregiver-administered Acupressure as Long-term Intervention to Slow the Progression of Early/Mild Alzheimer's Disease With Blood Amyloid and Tau Biomarkers), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07779863 nanot yet recruitingnot on this mapstarted 2027, after this paper: background citation

Caregiver-administered Acupressure as Long-term Intervention to Slow the Progression of Early/Mild Alzheimer's Disease With Blood Amyloid and Tau Biomarkers: a Randomized Controlled Trial

TypeinterventionalSponsorThe University of Hong KongRan2027 to 2030Enrolled188ConditionsAlzheimer's DiseaseArmsComfy Acupressure for the Elderly, Least acupressure control
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Chunhua Liang *Department of Geriatrics, Shenzhen Second People's Hospital, Shenzhen, China.
Xueqin Yan *Department of Geriatrics, Shenzhen Second People's Hospital, Shenzhen, China.
Jing TianDepartment of Geriatrics, Shenzhen Second People's Hospital, Shenzhen, China.
Yunzhu YangDepartment of Geriatrics, Shenzhen Second People's Hospital, Shenzhen, China.
Xiaohua XiaoDepartment of Geriatrics, Shenzhen Second People's Hospital, Shenzhen, China. tu_xi8888@163.com.
Yaohui HuangDepartment of Geriatrics, Shenzhen Second People's Hospital, Shenzhen, China. 13713911803@163.com.
Tianfu WangGuangdong Key Laboratory for Biomedical Measurements and Ultrasound Imaging, School of Biomedical Engineering, Medical School, Shenzhen University, Shenzhen, China. tfwang@szu.edu.cn.

Funding

Open Project of Guangdong Key Laboratory of Biomedical Information Detection and Ultrasound Imaging SZD202207Sanming Project of Medicine in Shenzen Municipality No.SZSN202311007Shenzen Municipal Technical Project KCXFZ20201221173213036Shenzhen High-level Hospital Construction Fund and Key clinical research project of Shenzhen Second People's Hospital No.20243357015
6 · The paper itself

Abstract

backgroundAlthough blood-based biomarkers can be used to detect early Alzheimer's disease (AD), population differences affect their clinical value in early diagnosis of the disease spectrum.

aimsTo examine the potential of plasma biomarkers to detect different stages along the AD continuum in a Chinese population.

methodsWe enrolled 113 adults from the Shenzhen community (53 cognitively unimpaired [CU], 45 with mild cognitive impairment [MCI], and 15 with AD). We used the single-molecule array technique to detect the levels of glial fibrillary acidic protein (GFAP), neurofilament light (NfL), and phosphorylated-tau181 (p-tau181), and performed APOE genotyping. We assessed the association between plasma biomarkers and cognitive scores, and used receiver operating characteristic curves to measure performance for early AD diagnosis.

resultsThe plasma GFAP, NfL, and p-tau181 levels increased significantly in AD and were slightly higher in MCI than in CU (GFAP p = 0.811, NfL p = 0.909, p-tau181 p = 0.696). The plasma GFAP and p-tau181 levels negatively correlated with cognitive scores. Blood markers demonstrated higher performance in identifying AD than CU or MCI. Plasma p-tau181 displayed the highest diagnostic value for AD. Predictions of cognitive impairment were more robust when blood markers were combined with clinical indicators for AD (age, sex, body mass index, years of education, and APOE ε4 carrier status). DISCUSSION: The expression of plasma GFAP, NfL, and p-tau181 increased in the AD continuum. Importantly, plasma p-tau181 could identify individuals with AD from the general population, with superior predictive performance when combined with age or sex.

conclusionsPlasma biomarkers are useful screening indicators for early AD in Chinese adults.

Indexed as

Alzheimer DiseaseDementiaGlial Fibrillary Acidic ProteinNeurofilament Proteinstau ProteinsAgedAged, 80 and overBiomarkersChinaCognitive DysfunctionCohort StudiesEarly DiagnosisEast Asian PeopleFemaleHumansMaleBiomarkersGFAP protein, humanGlial Fibrillary Acidic Proteinneurofilament protein LNeurofilament Proteinstau ProteinsAD disease spectrumClinical valueEarly diagnosisGlial fibrillary acidic proteinNeurofilament lightPhosphorylated-tau181

Identifiers

PMID40138103
PMCPMC11947039

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.